Individual
JENNA FLEISCHACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
505 KANSAS CITY ST, RAPID CITY, SD 57701-4146
(605) 222-7336
Mailing address
513 E WATERLOO ST, RAPID CITY, SD 57701-1077
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2585
SD
Other
Enumeration date
08/23/2017
Last updated
08/16/2023
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